ANGELA L WALLACE Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150005364

License Status

INACTIVE

Business

First Name

ANGELA L

Last Name

WALLACE

Business Name

ANGELA L WALLACE

Original Issue Date

12/07/1993

Effective Date

11/05/2004

Expiration Date

11/30/2005

City

HANNA CITY

State

Zip

61536

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

05/15/2025